Hernias are deffects in the abdominal wall, or we can say that they are holes in the harder layer of our abdomen. They appear in the weakest places of the abdominal wall, being the most common, the umbilicus and the inguinal areas. With the advantage of laparoscopic surgery, this approach is being adopted by many laparoscopic surgeons and we can now say that it is an approach that has been withstanding the test of time and has proven to be very effective, with the advantage of giving the opportunity to our patients to return more rapidly to work and of course the advange of less postoperative pain. This approach can be done for Inguinal hernias, Umbilical hernias and hernias encountered in the site of previous surgeries.

Hemmorrhoid diseasse is another entity that we can treat by scalpel free surgery. Medical treatment is the first choice to treat the problem and most of the time this alone can resolve the problems encountered by the patient; but sometimes this will not take away the symptoms the patient is suffering in this setting there are 3 indications to undergo surgery, these are:

1.- Intense pain with ineffective symptom relief with medications. This can mean that the hemmorhoid vessel has a thrombus, and surgery is the only means of removing it.

2.- Hemorraghe; active bleeding is another indication to undergo surgery.

3.- Patient desire to correct the problem definitevely.

It is performed in patients with Perianal Abscess, Hemorrhoids, Perianal Fistulas, Anal Fissure, Incontinence, Polyps and Cancer.

Extraction of the spleen by minimum invasion. It is performed in patients suffering from idiopathic thrombocytopenic purpura (platelet disease in which the spleen destroys platelets) and in some tumors.

The presence of nodules in the thyroid gland is more common in women. This disease requires the application of a protocol to determine the type of behavior we should follow, considering the age of the patient, the characteristics of the nodule, its size, presence or absence of other nodules in the neck, history of radiation exposure by the patient or family history of nodules and / or cancer. We offer our patients the required protocol, which is to take a sample or a biopsy of the tissue or cells that grow in the nodule or lesion; our behavior will be determined by the results of pathology, which will give us an idea of the type of cell or tumor found in the nodule, whether it is benign or malignant and, therefore, our actions that can range from close follow-up or thyroidectomy partial or total.